HCPCS drug code · CMS crosswalk
Avgesmi J-Code / HCPCS Code
In short
Avgesmi is billed under HCPCS J9184 — Injection, gemcitabine hydrochloride (avyxa), 200 mg. One billing unit is 200 mg. CMS's crosswalk lists 2 Avgesmi NDCs under this code.
Reference
- J9184
- Injection, gemcitabine hydrochloride (avyxa), 200 mgBilling unit: 200 mg
- Labelers
- Avyxa Pharma, LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$403.465
Per200 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Avgesmi units and claim line
Enter the dose given to get the J9184 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Avgesmi NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 83831-0123-01 | J9184 | Avyxa Pharma, LLC | 26.3 | 5 |
| 83831-0124-01 | J9184 | Avyxa Pharma, LLC | 52.6 | 10 |
Avgesmi: common questions
- What is the J-code for Avgesmi?
- Avgesmi is billed under HCPCS J9184 — Injection, gemcitabine hydrochloride (avyxa), 200 mg. One billing unit is 200 mg. CMS's crosswalk lists 2 Avgesmi NDCs under this code.
- How many J9184 billing units are in a package of Avgesmi?
- CMS lists 5 to 10 billing units per package, depending on the NDC, where one unit is 200 mg. Units to report are based on the dose given, not the package.
- Is J9184 a CPT code?
- No. J9184 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.